Test Bank for Clinical Guidelines In Primary Care 4th Edition Hollier

TEST BANK v7




GUIDELINESv7INv7PRIMARYv7CARE,v74THv7EDITION
Ameliev7Hollier

,Clinicalv7Guidelinesv7inv7Primaryv7Carev74thv7Editionv7Hollierv7Testv7Bank
Tablev7ofv7Contents
Chapterv71:v7Cardiovascularv7Disorders
Chapterv72:v7Dermatologicv7Disorders
Chapterv73:v7Earv7Nosev7&v7Throatv7Disorders
Chapterv74:v7Endocrinev7Disorders
Chapterv75:v7Gastrointestinalv7Disorders
Chapterv76:v7Geneticv7Disorders
Chapterv77:v7Healthv7Promotionv7-v7Pediatric
Chapterv78:v7Hematologicv7Disorders
Chapterv79:v7Lactationv7andv7Breastfeeding
Chapterv710:v7Men’sv7Healthv7Disorders
Chapterv711:v7Neurologicv7Disorders
Chapterv712:v7Ophthalmicv7Disorders
Chapterv713:v7Orthopedicv7Disorders
Chapterv714:v7Pregnancy
Chapterv715:v7Psychiatricv7Disorders,v7Violence,v7Abuse,v7Neglect
Chapterv716:v7Pulmonaryv7Disorders
Chapterv717:v7Sexuallyv7Transmittedv7Diseases
Chapterv718:v7Urologicv7Disorders
Chapterv719:v7Women’sv7Healthv7Disorders

,Chapterv71:v7Cardiovascularv7Disorders
Clinicalv7Guidelinesv7inv7Primaryv7Carev74thv7Editionv7Testv7bank


MULTIPLEv7CHOICE
1.v 7 Thev7nursev7isv7awarev7thatv7thev7musclev7layerv7ofv7thev7heart,v7whichv7isv7responsiblev7f
orv7thev7heartsv7contraction,v7isv7the:

a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS:v7D
Thev7myocardiumv7isv7thev7specializedv7musclev7layerv7thatv7allowsv7thev7heartv7tov
7contract.v72.Thev7nursev7clarifiesv7thatv7thev7masterv7pacemakerv7ofv7thev7heartv7isv
7 the:

a. leftv7ventricle.
b. atrioventricularv7(AV)v7node.
c. sinoatrialv7(SA)v7node.
d. bundlev7ofv7His.

ANS:v7C
Thev7SAv7nodev7isv7thev7masterv7pacemakerv7ofv7thev7heart.
3. Thev7nursev7isv7awarev7thatv7thev7symptomsv7ofv7anv7impendingv7myocardialv7infarctionv7(MI)v
7differv7inv7womenv7becausev7acutev7chestv7painv7isv7 notv7present.v7Womenv7arev7frequentlyv7misd
iagnosedv7asv7having:

a. hepatitisv7A.
b. indigestion.
c. urinaryv7infection.
d. menopausalv7complications.

, ANS:v7B
Indigestion,v7gallbladderv7attack,v7anxietyv7attack,v7andv7depressionv7arev7frequentv7misdiagn
osesv7forv7womenv7havingv7anv7MI.
4. Thev7nursev7identifiesv7thev7LUBBv7soundv7ofv7thev7LUBB/DUBBv7ofv7thev7cardiacv7cyclev7asv7t
hev7soundv7ofv7the:

a. AVv7valvesv7closing.
b. closurev7ofv7thev7semilunarv7valves.
c. contractionv7ofv7thev7papillaryv7muscles.
d. contractionv7ofv7thev7ventricles.

ANS:v7A
Thev7LUBBv7isv7thev7firstv7soundv7ofv7av7lowv7pitchv7heardv7whenv7thev7AVv7valvesv7close.
5.Av7patientv7isv7admittedv7fromv7thev7emergencyv7department.v7Thev7emergencyv7departmentv7
physicianv7notesv7thev7patientv7hasv7av7diagnosisv7ofv7heartv7failurev7withv7av7Newv7Yorkv7Heartv7
Associationv7(NYHA)v7classificationv7ofv7IV.v7Thisv7indicatesv7thev7patientsv7conditionv7as:

a. moderatev7heartv7failure.
b. severev7heartv7failure.
c. congestivev7heartv7failure.
d. negligiblev7heartv7failure.

ANS:v7B
Classv7IV:v7Severe;v7patientv7unablev7tov7performv7anyv7physicalv7activityv7withoutv7discomfort.v7
Anginav7orv7symptomsv7ofv7cardiacv7inefficiencyv7mayv7developv7atv7rest.
6. Thev7nursev7assessesv7thatv7thev7homev7healthv7patientv7hasv7nov7signsv7orv7symptomsv7ofv7heart
v7failure,v7butv7doesv7havev7av7historyv7ofv7rheumaticv7feverv7andv7hasv7beenv7recentlyv7diagnosedv
7withv7diabetesv7mellitus.v7Thev7nursev7isv7awarev7thatv7usingv7thev7Americanv7Collegev7ofv7Cardi
ologyv7andv7thev7Americanv7Heartv7Associationv7(ACC/AHA)v7staging,v7thisv7patientv7wouldv7b
ev7a:

a. stagev7A.
b. stagev7B.
c. stagev7C.
d. stagev7D.

ANS:v7A
Thev7ACC/AHAv7stagingv7describesv7stagev7Av7asv7av7personv7withoutv7symptomsv7ofv7heartv7fail
ure,v7butv7withv7primaryv7conditionsv7 associatedv7withv7thev7developmentv7ofv7thev7disease.